Search

Extracranial carotid artery aneurysms are quite rare. They account for 0.4% to 4% of all peripheral arterial aneurysms. Precise treatment is essential in order to avoid neurological complications of aneurysms. A 67-year-old male patient was admitted to the cardiology outpatient clinic of our hospital three months ago, with complaints of chest pain during exertion. The effort test of the case revealed a positive result, and coronary angiography revealed stenosis in the coronary arteries. The carotis doppler ultrasonography revealed plaque in the left internal carotid artery, causing 80% narrowing in the lumen. Four vessels were determine to be bypassed, and a left carotid endarterectomy was applied in the same session. Swelling and cyanosis were present in the patient's neck two days after the operation. The control doppler ultrasonography revealed the development of an aneurysm in the left internal carotid artery. The patient was operated on again one week after the first operation, and end-to-end anastomosis was applied with a saphenous vein interposition graft. The decision was made for follow-ups with doppler ultrasonography controls in six-month intervals. [ABSTRACT FROM AUTHOR]

Persistent left superior vena cava is a rare but important vascular abnormality. It occurs when the left superior cardinal vein does not regress and reaches innominate vein. It often present as an isolated condition. However, it might be associated to cardiovascular anomalies such as atrial septal defect, bicuspid aortic valve, aortic coarctation, coronary sinus anomalies or cor triatrium. A patient presenting with shortness of breath and atypical chest pain had been diagnosed with left persistent superior vena cava (LPSVC) on echocardiography. Agitated salin contrast echocardiography was performed and the LPSVC confirmed. Coronary CT angiography was performed in order to check for additional anomalies. It was seen that the LPSVC opens to the left atrium and the coronary sinus was patent. We aimed to present this case in the light of literature and radiological images. [ABSTRACT FROM AUTHOR]

Aim: The aim was to evaluate the efficacy of ultrasound (USG) in the identification of free fluid and organ injury signs in abdominal trauma. Material and Methods: The radiological findings, follow-up and treatment results of 172 patients presenting to the emergency departments with blunt or penetrating abdominal trauma that had undergone ultrasonography and computed tomography (CT) were retrospectively evaluated. The presence of free fluid and organ injury findings were evaluated in all abdominal quadrants. USG findings were compared with CT ± treatment (conservative/surgical) results. Liver, spleen, kidney injuries were evaluated in subgroups. Results: Of the 172 patients included in the study, 66 had free abdominal fluid and 69 had organ injury. For free fluid in the abdomen, the sensitivity, specificity and accuracy of USG was 83.3%, 88.6% and 86.6%, respectively. There was a significant correlation between abdominal organ injury and free fluid detection with USG (p=0.004). When abdominal free fluid ± organ injury were evaluated together, the sensitivity, spesificity and accuracy of USG was 82.6%, 88.3% and 86%, respectively. In the detection of organ injury the sensitivity, specificity and accuracy of USG was 24.6%, 98% and 68.6%, respectively. Conclusion: The sensitivity and spesificity of USG is higher when abdominal organ injury is accompanied by free fluid. [ABSTRACT FROM AUTHOR]

Copyright of Ortadogu Medical Journal / Ortadogu Tip Dergisi is the property of Bastas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ortadogu Medical Journal / Ortadogu Tip Dergisi is the property of Bastas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: The purpose was to find the coincidence frequency of middle ear chronic inflamatory diseases and intratympanic tympanosclerosis and myringosclerosis. Methods: The presence of intratympanic tympanosclerosis and myringosclerosis in the CT's of 156 patient was investigated. The cases were separated into three groups according to the surgical and pathological results as followed, chronic otitis media, cholesteatoma and chronic otitis media with cholesteatoma. The distribution of tympanosclerosis was investigated according to patient groups. Results: All of the patients were operated and 76 cases diagnosed with chronic otitis media, 40 cases with cholesteatoma and 40 cases with chronic otitis media with cholesteatoma. Taken together, tympanosclerosis and myringosclerosis were seen in 15.8 % of chronic otitits media cases, in 20 % of cholesteatoma cases and in 22.5 % of cases with chronic otitis media with cholesteatoma. The frequency of tympanosclerosis according to the patient groups is not different (p>0.05). Conclusion: Intratympanic tympanosclerosis and myringosclerosis can be seen together with all of the chronic inflammatory diseases of the middle ear. If cholesteatoma or otitis media is detected in CT tympaneosclerosis should be investigated and vise versa. [ABSTRACT FROM AUTHOR]

Renal cell carcinoma is the most common primary malignant tumor of renal parenchyma. RCC most commonly spreads to lung, liver, bone, brain, lymph nodes and controlateral kidney. Bone metastases are seen %20-35 of RCC cases. Main reason of morbidity in RCC patients are pain, decrease of mobility and pathological fractures cause by bone metastases. In solitary lesions best treatment is removal of lesion by surgery. Transcatheter embolisation used for limiting intraoperatif bleeding, both on primary tumor before nephrectomy and metastatic bone lesions. In this case we aim to present a case which underwent surgery for RCC which diagnosed with bone metastas in diafizer part of humerus 4 years later and transcatheher embolisation performed with liteature sources and radiological findings. [ABSTRACT FROM AUTHOR]

Aim: Comparison of the diagnostic value of ultrasonography (US) and magnetic resonance imaging (MRI) in the diagnosis of rotator cuff and biceps tendon pathologies. Material and methods: Shoulder US an MRI were performed in patients suffering from shoulder pain. The results of the two methods were retrospectively evaluated in a total of 105 cases. Magnetic resonance imaging findins were accepted as a reference. Results: In the biceps tendon, ultrasonography served as a method for correct diagnosis in 7 of the 8 cases with dislocation, in 1 of 3 cases with partial rupture, and i all 4 cases with full thickness rupture. In biceps tendon patholo- gies, the sensitivity nad the specifity of US were respectively 80% and 978%. And for supraspinatus tendon pathologies; 24 of 26 full thickness ruptures (92.3% sensitivity, 98.8% specifity), 30 of 37 partial ruptures (81% sensitivity, 95.6% specifity), 30 of 37 tendnosis' (83.3% sensitivity, 95.6% speifity) were diagnosed correctly with US. Conslusion: As a result, US is a reliable and especially reproducible method for evaluation and diagnosing of patients with shoulder pain. Furthermore, its diagnostic value is low in partial rotator cuff ruptures and in the partial ruptures of the intracapsular biceps tendon [ABSTRACT FROM AUTHOR]